1295729556 NPI number — SALISBURY RETIREMENT CENTER INC.

Table of content: (NPI 1295729556)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295729556 NPI number — SALISBURY RETIREMENT CENTER INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SALISBURY RETIREMENT CENTER INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HARRISON SENIOR LIVING OF CHRISTIANA
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295729556
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 STRODE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COATESVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19320-2874
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-383-4225
Provider Business Mailing Address Fax Number:
610-383-4575

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
41 NEWPORT AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHRISTIANA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17509-1305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-593-6901
Provider Business Practice Location Address Fax Number:
610-593-0243
Provider Enumeration Date:
09/01/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RICHETTI
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
610-383-4225

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  080502 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0015254870001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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